磁控胶囊内镜在不明原因消化道出血诊治中的应用及临床观察

Application and clinical observation of magnetic controlled capsule endoscopy in diagnosis and treatment of obscure gastrointestinal bleeding

摘要:

目的 探讨磁控胶囊内镜（MCCE）在不明原因消化道出血（OGIB）诊治中的应用及临床观察。方法 回顾性分析2021年6月－2022年6月该院40例运用MCCE治疗OGIB患者的临床资料，以探讨MCCE的应用特点及优势。结果 40例患者均顺利完成胃及小肠的MCCE检查，人工阅片与辅助阅片系统一致的32例（80.00%，32/40），确诊病例为15例（37.50%，15/40），与辅助阅片系统诊断相符病例11例（73.33%，11/15）。15例患者中，有10例拟诊为小肠疾病，3例为结肠疾病，2例为上消化道疾病；5例行外科手术治疗，2例行内镜下止血治疗，5例口服药物治疗，3例随诊观察。结论 MCCE在OGIB的病例诊断中，具有兼顾对胃腔巡航式检查的优势。与传统的胶囊内镜比较，其为小肠系统和结肠疾病的内镜诊断，提供了重要的参考信息和诊断价值。

Abstract:

Objective To investigate the application and observe the magnetically controlled capsule endoscopy (MCCE) in diagnosis and treatment of obscure gastrointestinal bleeding (OGIB).Methods The application characteristics and advantages of MCCE in diagnosis and treatment of OGIB patients from June 2021 to June 2022 were analyzed retrospectively.Results All the 40 patients successfully completed the gastric and small intestine examination of MCCE, 32 cases (80.00%, 32/40) were consistent with the artificial intelligence video reading system, 15 cases (37.50%, 15/40) were confirmed, 11 cases (73.33%, 11/15) were consistent with the diagnosis of artificial intelligence video reading system. Of the 15 patients, 10 cases were suspected to have intestinal disease, 3 cases were suspected to have colon disease, and 2 cases were suspected to have upper gastrointestinal disease. 5 cases underwent surgical treatment, 2 cases underwent endoscopic hemostasis, 5 cases received oral drug treatment, and 3 cases underwent follow-up observation.Conclusion In the diagnosis of cases of OGIB, MCCE takes into account the advantages of cruise examination of the gastric cavity. Meanwhile, compared with traditional capsule endoscopy, it also provides important reference information and diagnostic value in the endoscopic diagnosis of the small intestine system and colon diseases.